The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with acute human immunodeficiency virus (HIV) infection. Which action would be most appropriate for the nurse to take?
a. Instruct the patient to apply ice to the neck.
b. Advise the patient that this is probably the flu.
c. Explain to the patient that this is an expected finding.
d. Request that an antibiotic be prescribed for the patient.
ANS: C
Persistent generalized lymphadenopathy is common in the early stages of HIV infection. No antibiotic is needed because the enlarged nodes are probably not caused by bacteria. Applying ice to the neck may provide comfort, but the initial action is to reassure the patient this is an expected finding. Lymphadenopathy is common with acute HIV infection and is therefore not likely the flu.
You might also like to view...
A 60-year-old man with diabetes has a below-knee amputation and asks, "Why does it still feel like my leg is attached and in pain?"
The nurse explains that our minds gather information and develop patterns called a neurosignature, all the parts of our bodies become a part of the pattern, and it takes time for the pattern to adapt to change or loss. This pattern is a part of the: A) Personal pattern analysis B) Past experience C) Anxiety control measures D) Extended gate control theory
You find 180 mL of fluid left in an IV that is infusing at 45 gtt/min. The drop factor is 10 gtt/mL. How long will the IV fluid last? _______________
a. 4 hr b. 1 hr c. 2/3 hr d. 1/2 hr
A client is admitted to a psychiatric treatment unit with psychosis. Which of the following is the most appropriate diagnosis for this client?
A) Dressing/grooming self-care deficit B) Disturbed thought process C) Risk for confusion D) Risk for imbalanced nutrition
A patient reports to the clinic with complaints of nervousness, weight changes, and a general feeling of ill health. History reveals that the patient recently took a demanding new job that requires frequent air travel across the country
The nurse recognizes which risk factors for endocrine disturbance? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Probable exposure to unfamiliar infection pathogens 2. Psychological stress from the new job 3. Physiological stress of travel 4. Disruption of circadian rhythms 5. Ingestion of unfamiliar foods and beverages